John Menadue

  • LYNDON MEGARRITY. Rex Patterson and the Whitlam Government

     

    Dr Rex Patterson entered politics in 1966 by winning a by-election for the seat of Dawson as an ALP candidate on the platform of Northern Development. During Whitlam’s time as Opposition leader (1967-72), Patterson and Whitlam worked closely together on Northern Australia policies; Patterson also developed a media and parliamentary profile as Labor’s spokesman for rural affairs and Northern Development. As a federal public servant in the 1950s and 1960s, Patterson had developed expertise in sugar, pastoralism and other primary industries and was therefore well qualified to be Labor’s spokesman for these issues. (more…)

  • WALTER HAMILTON. Abdication in Japan?

    On July 13, just three days after Japan’s ruling coalition secured a critical two-thirds majority in parliament, a news report emerged that the country’s long-serving Emperor wishes to abdicate ‘within the next few years’. (According to some news media, the abdication story was held over until after the election at the government’s insistence.) On the surface, the two events might appear unrelated; however, various intriguing possibilities are worth exploring. (more…)

  • JOHN CARMODY. More on Brexit

    Dr John Carmody reflects on the historical journey of the European Union.

    (more…)

  • TONY KEVIN. South China Sea dispute: a furious China challenges the high priests of international law

     

    One privilege of being retired that one can watch ABC News24 daytime television while others are hard at work. On Wednesday 13 July around midday, I was treated to a dramatic spectacle: a Chinese Deputy Foreign Minister in an hour-long international media conference in Beijing fiercely denouncing, as a ‘scrap of waste-paper fit only for the rubbish bin’, a Permanent Court of Arbitration (PCA) Award (ruling) made by the South China Sea Arbitration Tribunal the day before, 12 July.[1] I watched fascinated as the Minister criticised the ruling with great force, even challenging the legitimacy of the Tribunal’s selection and membership. A Chinese White Paper was issued on the same day detailing why China rejected the ruling.[2]   (more…)

  • STUART HARRIS. What Australia’s foreign policy should look like. (Repost from Policy Series)

     

    The focus in Australia’s foreign policy has shifted back and forth between the global and the regional, and between multilateralism and bilateralism in economic and political relationships, due only in part to party political differences. While some policies, such as immigration, refugees and to a degree defence, are widely debated in Australia, many are not. Moreover, foreign policies are often not just linked to domestic interests but become part of domestic electoral politics – whether as photo ops with foreign leaders, muscularly assertive security stances or support for influential domestic pressure groups. This often leads to opportunistic political decisions lacking long-term vision and analysis.

    We concentrate here on two broad and interrelated challenges to our present foreign policy: first, the choice between the global approach and the regional approach and second, avoiding a choice between the political and economic relationships with the US and China. These two challenges embrace much of what is in practice a wide and complex set of influences.

    Among those complexities, the international environment for Australia’s foreign policy is changing with globalization and greater porosity of borders. Inter-state conflict has greatly diminished but intra-state conflict has risen, with consequences for international refugee flows. Population movements more generally will grow and, like political refugees, will target Australia among other well-developed countries. Emerging issues, such as climate change, stressed global commons – oceans, biodiversity, cyberspace and the atmosphere – as well as traditional economic, food and energy issues will shape international relations. Moreover, foreign policy objectives – national security, wealth and prosperity, and a geopolitically stable environment – have become more interrelated. This is even more so if we desire to project a moral dimension through aid and human rights efforts.

    Looking at the first of our two challenges, given our multicultural society, a global conception of our foreign policy is inevitable. Australia arguably supports the international system of international law and global rules. Yet despite Australia’s eagerness to participate in international developments, its political support for global institutions has in practice been equivocal. Scepticism about support for the United Nations is often expressed by political leaders, notably in response to criticism of Australia’s indigenous affairs and refugee policies. Australia worked effectively within the UN framework in the East Timor crisis and during its Security Council membership. Its participation in UN and G20 efforts to develop climate change responses, however, has been grudging. Support for the US in the first Iraq war was within UN auspices; that for the second Iraq war was not. While US belief in its exceptionalism means that it is not bound by its own rules, for smaller countries including Australia international rules are crucially important.

    Australia’s substantial contribution in developing regional cooperation processes and institutions started in the 1970s, with largely bipartisan domestic acceptance in the 1980s and early 1990s. The Coalition government in the mid-1990s switched the emphasis back to Britain and the US, and this was reinforced particularly after al Qaeda’s attack on the US in 2001.

    Asian regional dynamics are changing. Population growth and development in the region is rapid; the importance of countries such as India, Indonesia and Vietnam in particular will grow for Australia. This means there will be a need for a more active foreign policy toward the region. Solutions to many of Australia’s problems, not limited to people smugglers and terrorism, will increasingly need cooperation from regional neighbours.

    Asian developments also have significance for our defence policy, requiring greater emphasis on a regional response. Shifts in the geographic focus of Australia’s defence policy in the past have been between either the defence of Australia and its immediate neighbourhood, or forward defence as with our Vietnam involvement. Recently, more emphasis has again been given to alliance support.

    In terms of the second challenge, the Australia-US relationship has undergone various transformations. In early post war years, it reflected acceptance of a US international leadership within a range of global trade, finance and arms control institutions, international rules and cooperation. Then, as part of the Western alliance during the Cold War and fear of nuclear war, US bases were and remain as Australia’s contribution to early warning and arms control objectives. Although the Western alliance is now more amorphous, Australia has become closer to the US in recent decades. That we have tended to follow US strategies in the Middle East that failed to reflect the complexities of tribalism, religious divisions or sectarian wars – as in Afghanistan and Iraq – should hold lessons for the future. At the same time, the US has become more unilateral in its actions under Presidents Bush and Obama in particular, and is inclined to define what is acceptable or not for Australia.

    The US link has increasingly shaped Australia’s defence, security and foreign policies. More importantly, we have followed the US in seeing solutions to international problems largely in military terms. Sometimes this is sensible as in East Timor and Solomon Islands. Sometimes it is not. Australia’s global approach outside the UN has had mixed results. Our operations in the Middle East – Afghanistan and Iraq in particular – have raised two issues: was the emphasis central to our vital interests; and were we successful? The answer to the first is doubtful; to the second, the failure of those efforts is not in doubt, despite the skills of the Australians involved; the continuing costs, including to domestic security, are substantial.

    It is hard to separate the Australia-US relationship from that of the Australia–China relationship. The US is a Pacific power, but it is an outsider in Asia. Australia, however, is linked to the region from within. China is the largest trading partner of virtually all Asian countries including Australia. Australia’s future relations with the region, in Northeast Asia and with ASEAN in particular, will depend upon relations with China as well as with the US. We should not continue to subordinate foreign policy to security policy; our influence in the region will depend not just upon our military capability but also upon our economic strength and our diplomacy.

    While Australia has enhanced its US relationship in security terms, its economic relationship with China remains largely in a separate policy box with Australia keen to enhance economic ties with China. That policy separation will be more difficult to sustain in the future, with the US increasingly seeing economic developments from a strategic viewpoint, as the ‘pivot’, the Trans-Pacific Partnership (TPP) and the Asian Infrastructure Investment Bank (AIIB) suggest. Yet China will continue to have a critical influence on Australia’s economy, GDP and employment; despite attempts by politicians of both parties to politicize China’s limited investment in Australia, foreign investment including from China will be needed in the future to support our economic growth.

    Given the importance of China to Australia’s economic fortunes, we need to focus more on that relationship, develop greater understanding of its many dimensions, and establish depth comparable to that we have with the US relationship. We also need to decide for ourselves issues affecting China rather than seek guidance from the US, whose interests are often different to ours.

    US global leadership post-WWII contributed substantially to global and regional stability and remains essential, but that leadership is now ambiguous. It needs to come to terms with the new global and regional circumstances, primarily but not limited to the rise of China, and its own constrained relative capabilities. China undoubtedly wants to move from under the strictures of US primacy and potentially will do so in the long term. It is a long way from being able to do so at present. With a recent hardening of attitudes, the US and its military want to maintain that primacy and treat as adversarial China’s attempts to move to greater equality and reduced vulnerability to US dominance. Australia needs to avoid involvement in such a contest and must help reduce their mutual mistrust, developing an accommodative approach in its diplomacy with the US and China.

    For Australia, the US relationship also has a broader economic impact. After a long protectionist history, Australia became a strong supporter of an open, non-discriminatory trading system, supported multilateralism and a rules-based international economic system, under the GATT and then WTO, to its considerable advantage; it reverted, in the 1990s, however, to becoming a preferential bilateral trading nation. Although helping some groups of traders, overall such preferential agreements have provided limited benefit and incurred considerable economic costs, as the preferential US-Australia ‘Free Trade’ Agreement illustrated. Apparently under US pressure to create a precedent, Australia conceded some sovereignty to overseas investors in the economic policy field, through the investor-state dispute settlement (ISDS) instrument. Its recently concluded Korean agreement permits legal recourse (overriding Australian legal jurisdictions) if Australian policy changes are judged to affect foreign investors’ expected success. It is apparently proposed that this should be part of the preferential TPP currently being negotiated. Safeguards will presumably be sought but with considerable doubts about their likely effectiveness. The TPP is already dividing the region contrary to Australia’s interests, since not just China, but Indonesia and India in particular, will find it difficult to meet the admission conditions. There are times, as with the TPP, when we should be willing to walk away from bad deals. Rather than surrendering sovereignty in the TPP, we would gain more by putting our efforts behind region-wide efforts such as the Regional Comprehensive Economic Partnership (RCEP).

    So what should our foreign policy look like? A successful foreign policy needs a long-term strategic vision – over decades, long enough to understand that there will be major, and not just marginal, differences to the world as we know it. That vision needs to be based on a clear direction and a careful analysis of all relevant factors and their implications. Our policy orientation should be multilateral and multidimensional, using all our foreign policy tools and recognizing that military methods are unlikely to resolve many problems we might expect in the future.

    Moreover, Australia should not automatically follow the US, but should support actively existing international institutions and their rules and rule-making processes, and contribute constructively to further development of international rules. Areas where this will be necessary are in the climate change field and perhaps international refugees. Although Australia is less well placed to lead internationally than in the past, it can still influence developments if it bases its approach on its own independent thinking and interests. Given the changes likely over the long-term in Asia, however, our efforts should be directed primarily to the region.

    In the security field, the objectives of our existing policies are unclear, as are just what constitute the aims of our military procurement and defence policy more generally, illustrated most recently by the confused submarine issue. Given our diminishing defence spending capabilities, priorities will be needed among different interests and objectives, concentrating our efforts rather than trying to foresee all potential areas in which our military could be involved. Traditional security threats directed at Australia are unlikely in the short and medium-term, but given the potential changes in the region, self-reliance and area denial would seem to have priority rather than other options including alliance support.

    This would have implications for our current considerable enmeshment with the US military. We need to avoid having to choose between the US and China, especially in the, admittedly currently low, likelihood of actual military conflict. While China has not shown real evidence of expansionist objectives, Taiwan is a qualified exception. A potential cause for conflict could arise over Taiwan in the future, in which case pressure will increase on Australia to support the US militarily. Yet opinion polls continue to show little public support for our participation and we should look to discourage any action on our part that encourages US confrontation with China. As Mr. Abbott said in 2012, the US should not take Australia entirely for granted. Inevitably, military conflict between the US and China would have massive consequences, including for Australia if involved. Democratic processes would require that no Australian political leader commit Australia to military conflict involving China without substantial public support and a full parliamentary debate. Without that, history would be unforgiving.

    Stuart Harris was Secretary, Department of Foreign Affairs 1987-88. He is currently an Emeritus Professor and Visiting Fellow at the Coral Bell School of Asia and Pacific Affairs at the ANU.

  • PHILOMENA MURRAY. Nice attack brings a difficult question into sharp focus: why France?

    If you live in France, you enjoy Bastille Day. There is a buzz in the air as you celebrate a day off in the middle of summer with your family and friends. You go to the fireworks. It is good to be in France and to remember the founding principles of the state – liberty, equality and fraternity. There is little mention of a bloody history of revolution and wars, colonialism and empire. (more…)

  • STEVE GEORGAKIS. Sport is only sport if you participate; otherwise it is a spectacle

     

    The highpoint of sport occurred more than 2,000 years ago when the ancient Greeks established an education system which placed a significant emphasis on the playing of sport and in particular the educational value of participation in sport. The central role of sport in the education system coincided with the flourishing of Greek culture which included democracy, philosophy, architecture and law. That is the Greeks had developed a sports system from the grassroots to the elite level and what characterised this system was the emphasis placed on participation. Subsequently the Greek world was overrun by the Romans who dismantled this participationary system and replaced it with spectacles. For the conquering Romans, sport became something you watched in arenas and hippodromes and usually involved some form of brutality. For the ruling Roman classes it became a way of controlling the masses and from this emerged, ‘Bread and Spectacles’. (more…)

  • FRANCIS SULLIVAN. Economic Inequality is a Wound on our Nation: Can It be Healed?

     

    The wash up from the Federal election echoes that from after the Brexit vote in the UK – voter disenchantment and protest.

    Commentators suggest this comes from electorates where the “old economy” still holds sway. Where jobs are tenuous and basic concerns on health and education are front of mind.

    Others say that the two major parties are too similar and appear unresponsive to the concerns of those who are struggling to keep up with the demands of a “globalised economy” or who have completely missed out on its benefits. (more…)

  • PETER GIBILISCO. Five years in retrospect: Life without control

     

    I look back on the last five years and come to a sad conclusion. For some considerable time, I have been losing control of my movements. But from July 2011 there has occurred a progressive loss of control that is potentially more fundamental than the biological loss of muscular power. It has not been physiological so much as social and personal. What am I referring to? July 2011, five years ago, was when I move into a group-home for people with high support needs. (more…)

  • KATHY CHAPMAN & BRIDGET KELLY. Unhealthy sport sponsorship continues to target kids.

    In the final month of the countdown to the Olympic Games, our sports stars are probably not eating and drinking the Games sponsors’ foods. Again, as in previous Olympics, the Olympic Games sponsors are Coca-Cola, McDonald’s and Cadburys, whose foods and drinks are not good choices for athletes due to their lack of nutrition and high levels of salt, sugar and saturated fats.Unhealthy sponsorship of sport filters all the way down through sport from the elite level to Saturday morning kids’ clubs. (more…)

  • WALTER HAMILTON. Japan’s drift towards constitutional change.

     

    Last weekend’s Upper House election result has armed the ruling Liberal Democratic Party with the parliamentary numbers needed to bring about controversial changes to the Japanese constitution. It does not mean the dropping of the constitution’s war-renouncing Article 9 is imminent or inevitable, but in parliamentary terms for the first time it has become possible. (more…)

  • GRAHAM FREUDENBERG. On Gough Whitlam’s 100th birthday, 11 July 2016.

    This tribute is being published as a foreword to the book ‘Not just for this life’. Wendy Guest has put together all the tributes paid to Gough Whitlam in the House and the Senate in October 2014. This tribute to Gough Whitlam will be published by the UNSW Press.

    Something very special and wonderful happened in Parliament House, Canberra, in the last week of October 2014. It began as a conventional condolence motion for a former Prime Minister – Gough Whitlam, who had died on 21 October, aged 98. It became a celebration of the political life of the nation. (more…)

  • KEN HILLMAN. Ageing and end of life issues.

    It is well known that our population is living longer. But has our health system adapted to this ageing population? Do the elderly fit into the construct of a single diagnosis? Can we identify those who are coming to the end of their life? Do we ask them if they would prefer to spend the last few months of life in hospitals? What is the impact of the increasing number of medications that they are taking? What is the impact of modern medicine on age related deterioration? (more…)

  • PETER DAY. The Parable of the Good Muslim

     

    Some right leaning Christian politicians and commentators were not satisfied when a wise man told them you should love your neighbour as yourself. “And who is my neighbour,” they asked. The wise man replied:

    A conservative Member of Parliament was walking back home from church and fell into the hands of brigands; they took all he had, and then began beating him to within an inch of his life. Now it happened that a fellow conservative was travelling nearby, but when he saw the man and the brigands he pretended as if not to see and drove straight by. Then another devout church-goer came upon the commotion, but he too ‘turned the other cheek’ and continued on his way. But a Muslim man – a doctor – who came upon the scene was moved with compassion. He stopped his car causing the brigands to flee. He then took out his First Aid kit and proceeded to bandage the man’s wounds, comforting him with words of kindness. He then gently lifted the man into his car, laid him on the back seat, and took him to a nearby hospital. “Look after him,” he said to the medical registrar; “he has received an awful beating. I will stop by tomorrow to see if he is alright.” 

    “Which of these three do you think proved himself a neighbour to the man who fell into the brigands’ hands?” asked the wise man. “The one who took pity on him,” they replied. “Go and do the same yourself.”

    ____________________________

    The parable of the Good Samaritan is far more than a nice story about human kindness. Rather, it is a sobering challenge to people who should know better: our lives must not be governed by the cultural or religious constraints of our peers – of “my tribe”; of “my nation”.

    In today’s fractured political and social climate we must be very wary of fear-mongers who invoke tribalism. Such leadership only provides fertile ground for brigands and cowards. Citizens start to feel threatened and panic sets in as people compete for a dominant identity: it us versus them, me versus you.

    Not One Nation, but rather a divided nation.

    Peter Day is a Catholic Priest in Canberra. 

     

  • ROBERT MANNE. Murdoch’s war.

    In July 2005, Robert Manne in The Monthly Essays, outlined Rupert Murdoch’s role and that of some of his senior journalists in support of the invasion of Iraq. Robert Manne notes that ‘of the 175 Murdoch owned newspapers worldwide, all supported the invasion’. The opponents of the war were described in Murdoch’s newspapers as ‘the coalition of the whining’. See transcript below of Robert’s Manne’s revelations about how monopoly press power is abused.  John Menadue

    https://www.themonthly.com.au/monthly-essays-robert-manne-murdochs-war-how-lovestruck-teenager-angry-man-and-ambitious-baron-made-

  • GARRY WOODARD. Chilcot and Australia

    Tony Blair is the most flamboyant and contentious of the trio who took the coalition of the willing into war in Iraq.

    Attention focuses on what the Chilcot enquiry has concluded about his role, and equally importantly on what are the lessons, which it promised from the outset it would draw.

    The British enquiry naturally wished to protect the confidences of Blair’s co-conspirators, who have managed, unlike Blair, to preserve an image of dignified statesmanship and confident resignation that they did, properly, what had to be done. (more…)

  • The election campaign’s other big lie: the Coalition hasn’t delivered ‘export agreements’.

     

    Pearls and Irritations has carried many articles about the exaggerated claims for free trade agreements.  That exaggeration continued during the election campaign. One of the five pillars of Malcolm Turnbull’s ‘plan for jobs and growth’ was the alleged benefits of recently negotiated FTAs.

    An increasing feature of the most recently negotiated FTAs is that Australia’s hard-won labour standards are being negotiated away through 457 visas in return for access to overseas markets and particularly China.

    Peter Martin in the SMH of July 7 highlights how little has been delivered through FTAs. See link below.

    http://www.smh.com.au/comment/the-election-campaigns-other-big-lie-the-coalition-hasnt-delivered-export-agreements-20160706-gpzcx3.html

  • Chilcot Report and the ‘patsy from Down Under’.

    The Chilcot Report on the UK involvement in the invasion of Iraq has just been released. In a commentary on the report, Paul McGeough in the SMH refers to John Howard as the ‘patsy from Down Under’.

    The Chilcot Report concurs with the widespread view that the invasion of Iraq set in hand the awful devastation and death that we now see continuing in the Middle East.  the rise of ISIS can be attributed to the dreadful mistakes of Bush, Blair and Howard.

    For Paul McGeough’s commentary on the Chilcot Report, see link below.

    http://www.smh.com.au/world/chilcot-report-the-mindboggling-incompetence-of-bush-blair-and-howard-laid-bare-20160707-gq06hy.html

    In the next few days, we will be carrying i Pearls and Irritations, further commentaries on the Chilcot Report and implications for Australia.  John Menadue

     

     

     

  • MARK TRIFFITT & TRAVERS McCLEOD. Stability will only be found through ideas and democratic renewal

     

    On Saturday, Australia’s political system crossed a line. From the normal messiness of democracy into fragmented incoherence. From voter unrest to potential revolt.

    The implications are clear for anyone who wants to see. Instability is no longer a one-off in Australian politics but a pattern. Out-of-touch political leadership is no longer an individual failing but systemic.

    The enemies of the major parties may no longer be each other. Their principal enemy is fast becoming the ballot box. (more…)

  • KLAAS & AAFKE WOLDRING. Has Australia now become ungovernable?

     

    While the final outcome of the 2016 election will have to wait for a few days, a Hung Parliament or a Government with a narrow majority seems likely. The outcome for the Senate will take longer but will be even more remarkable with approx. 19 Senators not representing the major parties: nine Greens and 10 others. Probably 30 Senatorial seats will go to the Coalition and 27 to the ALP. The purpose of the Double Dissolution was to reform the Senate voting system and then pass legislation that was blocked by the Cross Benches. Not only will this be unlikely now but a Coalition Government would be hard put to get much of its legislative program through the Senate. (more…)

  • KAITLIN WALSH. Come on down Malcolm! Because YOU are The Biggest Loser

     

    If revenge is a dish best served cold then surely schadenfreude is best when tasted hot and fresh. As when viewing the tattered remnants of the Turnbull camp following Saturday’s election. (more…)

  • KAITLIN WALSH. Don’t trust anyone over 30. The division that transcends race, gender and religion – and why a #SSM plebiscite could become our #Brexit

     

    The increasing vitriol between the Boomers and (mostly) Gen Y has singed more than a few nose hairs in recent years. You’d be well advised to approach any discussion between active combatants with full hazmat gear. And now the #Brexit has brought matters to a head. (more…)

  • GREIG CRAFT. Drinking and Driving: a global problem.

    Global Problem

    Alcohol, drugs and driving simply do not go together. Driving requires a person’s attentiveness and the ability to make quick decisions on the road, to react to changes in the environment and execute specific, often difficult maneuvers behind the wheel. When drinking alcohol, using drugs, or being distracted for any reason, driving becomes dangerous – and potentially lethal![1] (more…)

  • MARTIN WOLF. Brexit is probably the most disastrous single event in British history since WWII.

    In the Financial Times, Martin Wolf says that the fearmongering and outright lies of Boris Johnson, Michael Gove, Nigel Farage, The Sun and the Daily Mail have won.   (more…)

  • RAY MOYNIHAN. Drug companies are buying doctors – for as little as a $16 meal.

    An important new study in the United States has found doctors who receive just one cheap meal from a drug company tend to prescribe a lot more of that company’s products. The damming findings demonstrate the value of new transparency laws in the US, and remind Australians we’re still very much in the dark about what our doctors get up to behind closed doors.

    Just published in the leading Journal of the American Medical Association (JAMA) Internal Medicine, this study is well worth a look for anyone interested in the hidden influences on how doctors prescribe.

    Together with a host of other recent work, it adds to the growing mountain of evidence suggesting doctors who expose themselves to marketing strategies – from seeing attractive drug reps to attending sponsored “education” – are doing patients and the wider public a grave disservice.

    Need for transparency

    The new study took advantage of a new government-run and publicly available databasewhich discloses all drug company payments to doctors. Researchers looked at how often doctors prescribed four popular brand-name drugs, and linked prescribing rates to how often those doctors received meals from the drugs’ manufacturer.

    They found that receiving just one company-funded meal was associated with a 20% increase in prescribing of Astra Zeneca’s cholesterol-lowering statin, Crestor, compared to other drugs in the same class.

    For two other heart drugs, the increase was in the order of 50%. For Pfizer’s anti-depressant Pristiq, taking one free meal was linked to a 100% increase, or a doubling of the rate of prescriptions.

    The average cost of the meals drug companies gave these doctors was between US$12 (A$16) and US$18 ($A24).

    And when doctors ate sponsored meals on more than four occasions, their prescribing of the brand-name drugs rose dramatically. Perhaps unsurprisingly, doctors who got more expensive meals tended to have bigger prescribing increases.

    Association not cause and effect

    Perhaps the most important caveat, as the study’s authors stressed, is that “the findings represent an association – not a cause and effect relationship”. Nevertheless, the results reinforce similar findings from recent studies also using the new transparency data in the US.

    In March investigative journalists at ProPublica found doctors who received drug company payments or gifts – mostly free meals – wrote scripts for brand-name drugs at much higher rates compared to doctors who didn’t take industry money.

    In May, in the journal PLOS One, researchers found almost half of the 700,000 doctors in the US had received payments from drug companies. Specialties receiving the highest industry payments had the highest prescribing costs per patient.

    And also in May, the JAMA Internal Medicine published a small study from the state of Massachusetts, similarly uncovering an association between payments from industry and modest increases in rates of prescribing brand-name statins (cholesterol-lowering medication).

    So why does this matter?

    The main concern in all the recent US studies is the unnecessary cost to patients and the health system when brand-name drugs are prescribed instead of cheaper generic alternatives.

    But perhaps the more serious concern is the danger of doctors prescribing under the influence of drug company marketing – which always favours the latest new drug, rather than what’s in the patient’s best interest.

    As The Conversation has covered recently, newer and aggressively promoted drugs can have very limited advantages over older ones, if any, and sometimes carry very serious side effects – particularly for the elderly.

    There is already evidence many older Australians are at risk of harm from taking too many inappropriate medicines – and there is a growing push to promote “de-prescribing”, which means taking people off drugs they don’t need.

    Australia still in dark

    Compared to the new transparency regime in the US, Australia has fallen way behind. Under new rules some payments to some individual doctors will have to be disclosed from this August, but there are too many loopholes.

    As a result of horse trading about the new rules – between the doctors, the drug companies and public authorities – any funding of meals costing less that A$120 will not have to be disclosed. And if doctors who have received payments don’t want their names disclosed in August, they won’t be.

    Also, all of the roughly 25,000 events, including breakfasts, lunches and dinners which doctors and other health professionals regularly attend annually, will from now on remain totally secret – until there is regulatory reform.

    Consumer groups are angry that citizens remain in the dark, and many doctors are horrified by the wining and dining of their colleagues, with some cutting their ties: refusing to see the attractive sales reps and seeking “education” elsewhere.

    Disclosure on its own is no panacea

    As others have pointed out, disclosure on its own is not a panacea, and it’s legitimate to ask why doctors should receive any free gifts or meals at all.

    Already there’s been one legislative attempt to enforce more independence between doctors and drug companies in Australia, and it is likely more will emerge in the future.

    Until then, it might be wise to inquire whether your doctor still takes the free meals – and perhaps seek your care elsewhere if the answer is yes.

    Ray Moynihan is Senior Research Fellow, Bond University.  This article was first published in The Conversation on 23 June 2016.

  • RICHARD WOOLCOTT. Foreign policy issues during and after the July 2 Election

     

    The Turnbull Government and the Shorten Opposition have focussed on domestic issues in the election campaign.  This is understandable but in the longer term the Government elected on the 2nd of July will need to address the greatly changed world of 2016. (more…)

  • DAVID POPE. Medicare – Eaten out from within.

     

    This cartoon by David Pope was published in The Canberra Times.

    I posted this cartoon on social media today, with links to your blog article. The cartoon was, in part, inspired by your posts. Too often, a good thousand words is worth more than any picture. Thank you for them.  David Pope.

    See link to David Pope’s gallery http://www.canberratimes.com.au/photogallery/act-news/david-pope-20120214-1t3j0.html.

    Medicare

     

    Warren Buffett described private health insurance in the US as the ‘tapeworm in the US health system’.

  • ARTHUR CHESTERFIELD-EVANS. Medicare- Did the Liberals try to abolish it?

     

    This is a current question with Shorten claiming that the Liberals are trying to privatise it and Turnbull calling this a Labor lie. What is the truth? The answer is in the history of Medicare funding. Medibank was set up by the Whitlam government and the bulk billing frees were set at 85% of the AMA ‘Most Common Fee’. The 15% was a discount but saved doctors a lot of costs and all their bad debts. They got slightly less, but the clerical and hassles saved by simply sending the paperwork, and later the computer message to the Medicare computer was felt to be a good deal. (more…)

  • LYNDSAY CONNORS. The schools funding question that Turnbull needs to answer

     

    ‘The quality of a student’s education should not be limited by where the student lives, the income of his or her family, the school he or she attends or his or her personal circumstances’.

    This is the statement of moral purpose set out in the preamble to current legislation, the Australian Education Act 2013, where it underpins the funding arrangements put in place by the previous Labor government, based on the 2011 Gonski Review.

    Bill Shorten has made clear that it is a principle that he and his party support (as do the Greens).

    Do Malcolm Turnbull and the Coalition support it – or not? It’s a simple question and it would be good to hear it asked and answered publicly before the imminent Federal election. (more…)